Pavel Vaclav Petrik in Lancaster - Thoracic Surgery (cardiothoracic Vascular Surgery)
Pavel Vaclav Petrik - NPI 1417044868
Pavel Vaclav Petrik is a Thoracic Surgery (cardiothoracic Vascular Surgery) in Lancaster, California. Pavel Vaclav Petrik practices all healthcare services and medical treatments related to Thoracic Surgery (cardiothoracic Vascular Surgery). The NPI Number for Pavel Vaclav Petrik is 1417044868. The last update date is 2021-12-09.
Pavel Vaclav Petrik's current location address is Po Box 8700, Lancaster, California. You can contact this provider via phone number 6615223256 and fax number 6619482006. The mailing address for Pavel Vaclav Petrik is Po Box 8700, Lancaster, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Pavel Vaclav Petrik |
|---|---|
| Address | Po Box 8700, Lancaster, California |
| Phone Number | 6615223256 |
| Fax Number | 6619482006 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1417044868 |
|---|---|
| Provider Enumeration Date | 2006-10-06 |
| Last Updated Date | 2021-12-09 |
Provider Mailing Address Detail
| Address | Po Box 8700 |
|---|---|
| City | Lancaster |
| State | California (CA) |
| Post Code | 935398700 |
| Phone Number | 6615223256 |
| Fax Number | 6619482006 |
Provider's Primary Taxonomy Detail
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
|---|---|
| Taxonomy | 208G00000X |
| Licence No | G74861 |
|
Definition: A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR0091800 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Pavel Vaclav Petrik by the Centers for Medicare & Medicaid Services?
The Pavel Vaclav Petrik has been issued the NPI (National Provider Identifier) 1417044868 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Pavel Vaclav Petrik is located?
The Pavel Vaclav Petrik is situated at the following address: Po Box 8700, Lancaster, CA, 935398700.
What is Pavel Vaclav Petrik's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Pavel Vaclav Petrik is Thoracic Surgery (cardiothoracic Vascular Surgery), and the taxonomy code that classifies this field of practice is 208G00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1417044868 to Pavel Vaclav Petrik?
The Centers for Medicare & Medicaid Services originally issued the 1417044868 to Pavel Vaclav Petrik on 2006-10-06.
As of what date were the Pavel Vaclav Petrik's details last updated?
The information pertaining to the Pavel Vaclav Petrik, including its address, specialty, and other details, was most recently updated on 2021-12-09.